Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?

Abstract

Management of gingival recession has been one of the primary interests of periodontal research for many years. Periodontal plastic-aesthetic surgery has advanced due to the understanding of periodontal conditions, anatomical factors and integration of recession classification into pre-operative planning. As a result, complete root coverage is achieved frequently in most cases and has become the criterion for success. However; mandibular gingival recessions still proved to be a challenge for clinicians when widely accepted techniques that showed high predictability of root coverage were applied. To address this clinical condition on the mandible, innovations of accepted surgical procedures have been published. In the present review, we compiled and elucidated the developments made in the treatment protocols for mandibular gingival recessions.

Keywords

• connective tissue
• dentin hypersensitivity
• gingival recession
• mandible
• plastic surgery

Thanks

Ahmet Çağlar Kalkan would like to thank Bejna Bozyel and Abdulnasır Gürbüz for their assistance and guidance during periodontal surgery

Mandibular Diş Eti Çekilmeleri: Periodontal Plastik Cerrahide Tam Kök Kapama Sağlamak Bir Zorluk mu?

Abstract

Diş eti çekilmelerinin yönetimi, uzun yıllardır periodontal araştırmaların temel ilgi alanlarından biri olmuştur. Periodontal plastik-estetik cerrahi, periodontal durumların, anatomik faktörlerin ve çekilme sınıflandırmasının ameliyat öncesi planlamaya entegrasyonunun anlaşılması sayesinde ilerleme kaydetmiştir. Bunun sonucunda, çoğu vakada tam kök kapanma sıkça sağlanmış ve bu durum bir başarı kriteri haline gelmiştir. Ancak; mandibular diş eti çekilmeleri; kök kapama konusunda literatürde yüksek öngörülebilirlik gösteren ve sıkça kullanılan teknikler uygulandığında bile klinisyenler için hala bir zorluk teşkil etmektedir. Mandibuladaki bu klinik duruma yönelik olarak kabul görmüş cerrahi prosedürlerde yenilikler yayınlanmıştır. Bu derlemede, mandibular diş eti çekilmelerinin tedavi protokollerinde yapılan gelişmeleri derleyip açıklığa kavuşturduk.

Keywords

• bağ dokusu
• dentin hassasiyeti
• diş eti çekilmesi
• mandibula
• plastik cerrahi

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